Peterson N E
Department of Surgery/Urology, University of Colorado Health Sciences Center, Denver.
Urol Clin North Am. 1989 May;16(2):221-36.
The potential deleterious consequences of renal trauma are well known, but reported incidences diverge broadly and are often exaggerated by the inclusion of sequelae of inconsequential nature and of disorders that may have antedated injury. The author adds unnecessary renal exploration and surgery to the usual list of complications, deliberately provoking consideration of the unresolved controversy over the relative merits of aggressive and conservative management of injuries of intermediate severity.
肾创伤潜在的有害后果是众所周知的,但报告的发病率差异很大,而且常常因纳入无关紧要的后遗症以及可能在受伤前就已存在的疾病而被夸大。作者在常见的并发症清单中增加了不必要的肾脏探查和手术,故意引发了关于中度严重程度损伤的积极治疗和保守治疗相对优点这一未解决争议的思考。